Published online Mar 22, 2018. doi: 10.5498/wjp.v8.i1.33
Peer-review started: November 4, 2017
First decision: December 11, 2017
Revised: December 23, 2017
Accepted: January 19, 2018
Article in press: February 8, 2018
Published online: March 22, 2018
Processing time: 137 Days and 11.4 Hours
Core tip: Drug and substance use is a public health problem around the world. Prevention efforts are carried out with varying results. One of the main targets in prevention is the risk factors associated with drug use. There are several instruments to study the risk factors which provide critical information to establish guidelines to control and prevent drug use. We used a well known validated and accepted instrument (drug use screening inventory) to investigate the prevalence and psychosocial factors associated with tobacco, alcohol and drug use in high school students in Mexico. We found higher prevalence of substance use than expected: 44% of the students had smoked tobacco and one in five students was a current smoker while over 40% had history of binge drinking. On the other hand, 6.8% of the students reported having used marijuana, cocaine, or both. Behavioral problems, deviant peer affiliation, and troubled families were independently associated with drug use. These results will help in the application of control and prevention programs among high school students. This is the first survey representative of a West Central state in Mexico: Jalisco which is an important Mexican state because it has a significant drug production and trafficking problem, and on the other hand, it provides a great number of migrants to the United States creating social, cultural and health problems associated with risk behaviors.